Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.10 / $788.78 / $7,439.00	Facility		$488.10	$788.78	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.10 / $488.10 / $875.74	Professional		$488.10	$488.10	$875.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.22 / $926.31 / $1,415.97	Professional		$400.22	$926.31	$1,415.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.15 / $834.65 / $1,397.11	Professional		$618.15	$834.65	$1,397.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $488.10 / $705.28 / $1,199.03	Facility		$488.10	$705.28	$1,199.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $705.28 / $705.28 / $705.28	Professional		$705.28	$705.28	$705.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $539.96 / $585.72 / $823.00	Professional		$539.96	$585.72	$823.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.48 / $734.68 / $1,904.95	Professional		$510.48	$734.68	$1,904.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,267.52 / $8,749.44	Facility		$55.00	$7,267.52	$8,749.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,668.00 / $5,668.00 / $5,668.00	Professional		$5,668.00	$5,668.00	$5,668.00